<!DOCTYPE html>
<html>

<head>
<meta charset="UTF-8" />
<title>Insert title here</title>
<style type="text/css">
#form .form-group {
	line-height: 30px;
}

#form2 input, textarea, select {
	
}
</style>
</head>
<!-- bootstrap & fontawesome -->
<link rel="stylesheet" href="../assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="../assets/font-awesome/4.5.0/css/font-awesome.min.css" />

<!-- page specific plugin styles -->
<link rel="stylesheet" href="../assets/css/bootstrap-duallistbox.min.css" />
<link rel="stylesheet" href="../assets/css/bootstrap-multiselect.min.css" />
<link rel="stylesheet" href="../assets/css/select2.min.css" />
<!-- text fonts -->
<link rel="stylesheet" href="../assets/css/fonts.googleapis.com.css" />
<!-- ace styles -->
<link rel="stylesheet" href="../assets/css/ace.min.css" class="ace-main-stylesheet" id="main-ace-style" />
<link rel="stylesheet" href="../assets/css/ace-skins.min.css" />
<link rel="stylesheet" href="../assets/css/ace-rtl.min.css" />

<!-- 引入layui.css -->
<link rel="stylesheet" href="../layui/css/layui.css" />

<!-- 修改表格的JS -->
<script type="text/javascript" src='../bootStrapTable/js/jquery-3.2.1.min.js'></script>
<script type="text/javascript" src="../bootStrapTable/js/bootstrap.min.js"></script>
<script type="text/javascript" src="../bootStrapTable/js/bootstrap-editable.min.js"></script>

<!-- 文件上传js -->
<script language="JavaScript" src="../bootStrapTable/js/jquery.js"></script>
<script type="text/javascript" src="../bootStrapTable/js/ajaxfileupload1.js"></script>

<!-- 显示表格的JS -->
<script src="../bootStrapTable/js/bootstrap-table.js"></script>
<script src="../bootStrapTable/js/bootstrap-table-zh-CN.js"></script>
<script src="../assets/js/ace-extra.min.js"></script>
<script type="text/javascript" src="../layer/layer.js"></script>
<script type="text/javascript" src='../chong/insert.js'></script>
<body style="background: white;">
	<div class="main-container ace-save-state" id="main-container">
		<div class="main-content">
			<div class="main-content-inner">
				<div class="page-content">
					<div class="page-header">
						<h1>
							管理充值记录 <small> <i class="ace-icon fa fa-angle-double-right"></i> 增加
							</small>
						</h1>
					</div>
					<!-- /.page-header -->
					<div class="row">
						<div class="col-xs-12">
							<!-- PAGE CONTENT BEGINS -->
							<form class="form-horizontal form-actions" role="form" id='form'>
								<div class="form-group">
									<h1>
										<small> <i class="col-sm-1 control-label no-padding-right"></i> 查询条件:
										</small>
									</h1>
								</div>
								<hr>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 输入卡号 </label>

									<div class="col-sm-4">
										<input type="text" placeholder="请输入会员卡号" id='rcard_search' class="col-xs-10 col-sm-12" name='rcard_search' />
									</div>
									<a href='#' class="btn btn-success" id='search'><i class="glyphicon glyphicon-search bigger-110"></i> 查询卡号</a>
								</div>
							</form>
							<form class="form-horizontal form-actions" role="form" id='form2' enctype="multipart/form-data" style="display: none;">
								<div class="form-group">
									<h1>
										<small> <i class="col-sm-1 control-label no-padding-right"></i> 查询内容:
										</small>
									</h1>
								</div>
								<hr>
								<br>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 会员卡号: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入会员卡号" id='rcard' class="col-sm-11" name='rcard' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 会员姓名: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入会员姓名" id='rname' class="col-sm-11" name='rname' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 会员相片: </label>

									<div class="col-sm-3">
										<input type="file" id='fileimg' class="col-sm-11" name='fileimg' style="border: 1px solid #D5D5D5; background: white;" />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 手机号码: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入会员号码" id='rtel' class="col-sm-11" name='rtel' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 卡号密码: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入卡号密码" id='rpsw' class="col-sm-11" name='rpsw' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 会员性别: </label>

									<div class="col-sm-3">
										<select id='rsex' class='col-sm-11' name='rsex' style="background: #EEEEEE;">
											<option value='3'>---请选择性别---</option>
											<option value='1'>男</option>
											<option value='0'>女</option>
										</select>
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 会员等级: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入卡号密码" id='did' class="col-sm-11" name='did' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 会员生日: </label>

									<div class="col-sm-3">
										<input type="date" id='rbirthday' class="col-sm-11" name='rbirthday' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 卡上余额: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="0" id='rmoney' class="col-sm-11" name='rmoney' readonly="readonly" />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 卡上积分: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="0" id='rjf' class="col-sm-11" name='rjf' readonly="readonly" />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 汽车颜色: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入汽车颜色" id='rcolor' class="col-sm-11" name='rcolor' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 汽车牌号: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入汽车车牌" id='rcarnum' class="col-sm-11" name='rcarnum' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 汽车品牌: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入卡号密码" id='aid' class="col-sm-11" name='aid' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 汽车系列: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入卡号密码" id='xid' class="col-sm-11" name='xid' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 证件类型: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入卡号密码" id='zid' class="col-sm-11" name='zid' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 证件编号: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入证件编号" id='rnum' class="col-sm-11" name='rnum' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 行驶里程: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入行驶里程" id='rway' class="col-sm-11" name='rway' />
									</div>
									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 联系地址: </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入会员联系地址" id='raddress' class="col-sm-11" name='raddress' />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 会员备注: </label>

									<div class="col-sm-7">
										<textarea class="form-control" name='rreamrk' id="rremark" placeholder="    请输入会员备注"></textarea>
									</div>
								</div>
							</form>
							<form class="form-horizontal form-actions" role="form" id='form3' style="display: none;">
								<div class="form-group">
									<h1>
										<small> <i class="col-sm-1 control-label no-padding-right"></i> 充值详情:
										</small>
									</h1>
								</div>
								<hr>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 会员卡号 </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    ---" id='rcard1' class="col-xs-10 col-sm-11" name='rcard1' readonly="readonly"/>
									</div>

									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 优惠活动: </label>
									<div class="col-sm-3">
										<select id='c_yid' class='col-sm-11' name='c_yid'>
											<option value='0'>---请选择优惠活动---</option>
										</select>
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 充值金额 </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    请输入充值金额" id='omoney' class="col-xs-10 col-sm-11" name='omoney' />
									</div>

									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 赠送金额: </label>
									<div class="col-sm-3">
										<input type="text" placeholder="   ---请选择优惠活动---" id='osmoney' class="col-sm-11" name='osmoney' readonly="readonly" />
									</div>
								</div>
								<div class="form-group">
									<label class="col-sm-3 control-label no-padding-right" for="form-field-1-1"> 最终金额 </label>

									<div class="col-sm-3">
										<input type="text" placeholder="    ---请填全上面信息---" id='olastmoney' class="col-xs-10 col-sm-11" name='olastmoney' readonly="readonly" />
									</div>

									<label class="col-sm-1 control-label no-padding-right" for="form-field-1-1"> 充值备注: </label>
									<div class="col-sm-3">
										<input type="text" placeholder="    请输入充值备注" id='oremark' class="col-sm-11" name='oremark' />
									</div>
								</div>
								<div class="form-group">
									<div class="col-sm-12">
										<input type='button' class="btn btn-success col-sm-12" id='addO' value='＋确认充值'>
									</div>
								</div>
							</form>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</body>
</html>